感恩情绪干预对肝硬化代偿期患者希望水平和自我效能的影响

Effects of gratitude intervention on the hope level and self-efficacy of patients with compensatory phase cirrhosis

目的 探讨感恩情绪干预对肝硬化代偿期患者希望水平和自我效能的影响.方法 对120例肝硬化代偿期患者按照随机数字表法分为观察组与对照组各60例.对照组给予常规肝硬化代偿期患者健康教育和康复指导,观察组在此基础上实施感恩记录、感恩沉思和表达感恩行为等感恩情绪干预4周.采用希望水平量表（HHI）及慢性病自我效能量表（CDSES）评价两组患者干预前后的希望水平及自我效能.结果 干预后,观察组患者希望水平量表总分和对现实和未来的积极态度维度、采取积极行为态度维度、与他人保持亲密关系的态度维度评分分别为（37.33±6.37）、（12.04±2.62）、（13.14±2.35）、（12.15±2.32）分,均优于对照组,差异有统计学意义（t值分别为8.773、7.034、7.725、7.858;P〈0.05）;干预后观察组患者自我效能总分为（46.84±6.53）分,对照组为（37.51±5.42）分,两组比较差异有统计学意义（t=8.741,P〈0.05）.结论 对肝硬化代偿期患者在治疗过程中实施感恩情绪干预,能有效改善患者的希望水平和自我效能.

Objective To explore the effects of gratitude intervention on the hope level and self-efficacy of patients with compensatory phase cirrhosis.Methods Totally 120 patients with compensatory phase cirrhosis were equally divided into observation group and control group by random number table. Patients in the control group received conventional health education and rehabilitation instruction, while patients in the observation group was emotionally intervened with gratitude record, gratitude reflection and gratitude expression for 4 weeks on this basis. Then their hope level and self-efficacy before and after the intervention was evaluated with Herth Hope Index （HHI） and Chronic Disease Self-Efficacy Scale （CDSES）.Results After the intervention, the scores of the patients in the observation group for HHI, positive attitude to the reality and future, taking positive attitudes and acts and maintaining close ties with others were （37.33±6.37）, （12.04±2.62）, （13.14±2.35） and （12.15±2.32）, respectively, all higher than the figures of the patients in the control group （t=8.773, 7.034, 7.725, 7.858;P〈0.05）; The self-efficacy score of the patients in the observation group after the intervention was （46.84±6.53）, higher than that of the patients in the control group （t=8.741,P〈0.05）, which was （37.51±5.42）.Conclusions Gratitude intervention, which is applied in the patients with compensatory phase cirrhosis in the treatment process, can improve their hope level and self-efficacy effectively.